Rose M Taylor, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

026666 Issued in GA

Practice address

715 Village Square Dr
Stone Mountain, GA 30083-3379

Phone

(404) 299-8444

Fax

(404) 292-8824

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Medical Associates, PC

  • Internal Medicine Physician
  • Snellville, GA
  • NPI 1417078148
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972623866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 VILLAGE SQUARE DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833379",
            "telephone_number": "404-299-8444",
            "fax_number": "404-292-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 VILLAGE SQUARE DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833379",
            "telephone_number": "404-299-8444",
            "fax_number": "404-292-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "026666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #",
            "identifier": "002416",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00335805D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ceria Tapika Tarver, NBHWC
• Sarah Tate, LPC LMFT
• Alison Lee Taylor
• Delisha Brantley Taylor, NP
• Kendra Michelle Taylor, LPN
• Shantiya Latoya Nachell Teel, NURSE PRACTITONER
• Brenda Dawne Telford, D.O.
• Ten 2 Speech & Language Therapy, LLC
• Marshet Tenaw
• Tender Care Services, LLC

• Internal Medicine Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.